Evidence map›Paper›PMID 31414245›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

CaringGuidance™ after breast cancer diagnosis eHealth psychoeducational intervention to reduce early post-diagnosis distress.

Robin M Lally, Kevin A Kupzyk, Gina Bellavia, Jennifer Hydeman, Steven Gallo, Vicki S Helgeson, Deborah Erwin, Adam C Mills, Jean K Brown

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Electronic Health Interventions for Patients With Breast Cancer: Systematic Review and Meta-Analyses.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Pooled it
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  5. Effect of prolonged expressive writing on health outcomes in breast cancer patients receiving chemotherapy: a multicenter randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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  14. The Impact of Canadian Medical Delays and Preventive Measures on Breast Cancer Experience: A Silent Battle Masked by the COVID-19 Pandemic.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Robin M LallyUniversity at Buffalo School of Nursing, Buffalo, NY, USA. robin.lally@unmc.edu.ORCID http://orcid.org/0000-0003-0323-127X
Kevin A KupzykUniversity of Nebraska Medical Center College of Nursing Biostatistician, 985330 Nebraska Medical Center, Omaha, NE, USA.
Gina BellaviaGraduate School of Education, University at Buffalo, Buffalo, NY, USA.
Jennifer HydemanDepartment of Psychology, Roswell Park Cancer Institute, Buffalo, NY, USA.
Steven GalloNew York State Center of Excellence in Bioinformatics & Life Sciences, University at Buffalo Center for Computational Research, Buffalo, NY, USA.
Vicki S HelgesonDepartment of Psychology, Carnegie Mellon University, Pittsburgh, PA, USA.
Deborah ErwinDepartment of Oncology Health Disparity Research, Roswell Park Cancer Institute, Buffalo, NY, USA.
Adam C MillsNebraska Medicine, Department of Psychology, University of Nebraska Medical Center, Omaha, NE, USA.
Jean K BrownSchool of Nursing, University at Buffalo, Buffalo, NY, USA.

Funding

American Cancer Society MRSG-11-101-01-CPPB
6 · The paper itself

Abstract

purposeSignificant cancer-related distress affects 30-60% of women diagnosed with breast cancer. Fewer than 30% of distressed patients receive psychosocial care. Unaddressed distress is associated with poor treatment adherence, reduced quality of life, and increased healthcare costs. This study aimed to evaluate the preliminary efficacy of a new web-based, psychoeducational distress self-management program, CaringGuidance™ After Breast Cancer Diagnosis, on newly diagnosed women's reported distress.

methodsOne-hundred women, in five states, diagnosed with breast cancer within the prior 3 months, were randomized to 12 weeks of independent use of CaringGuidance™ plus usual care or usual care alone. The primary multidimensional outcome, distress, was measured with the Distress Thermometer (DT), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Impact of Events Scale (IES) at baseline and months 1, 2, and 3. Intervention usage was continually monitored by the data analytic system imbedded within CaringGuidance™.

resultsAlthough multilevel models showed no significant overall effects, post hoc analysis showed significant group differences in slopes occurring between study months 2 and 3 on distress (F(1,70) = 4.91, p = .03, η

conclusionsResults provide preliminary support for the potential efficacy of CaringGuidance™ plus usual care over usual care alone on distress in women newly diagnosed with breast cancer. This analysis supports and informs future study of this self-management program aimed at filling gaps in clinical distress management.

Indexed as

Breast NeoplasmsDepressionFemaleHumansMiddle AgedPsychotherapyQuality of LifeSelf-ManagementStress, PsychologicalTelemedicineBreast cancerDepressive symptomsDistressInternetPsychoeducationSelf-management

Identifiers

PMID31414245
PMCPMC7083810

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.